For stubborn tendon problems that have not responded to loading alone.
What is involved
Achilles, patellar, gluteal and elbow tendinopathy of over three months
Focused acoustic waves delivered to a tendon that has failed to respond to a properly executed loading programme. It is a supplement rather than a substitute: the evidence supports it alongside exercise and not instead of it, so it is offered here only to people already doing the loading work. A course is three to five weekly sessions.
What the appointment includes
How it works
01
A full hour. We find out what the problem is, measure where you are starting from, and tell you honestly how long it should take.
02
Reduce the pain enough to make loading possible — with hands-on treatment, taping or activity modification. Usually the shortest stage.
03
The stage that does the work. Progressive loading, measured against your baseline, with most of it happening between appointments.
04
Reintroducing the specific demands of your sport, job or life — and testing against criteria rather than against the calendar.
05
A maintenance programme and a clear statement of what to keep doing. Recurrence is usually a stopped programme.
No. You can book directly. If you are claiming on insurance, most policies do require a GP referral first, so check before you book.
Appointments
Every course starts with a full assessment. Wear or bring clothing you can move in, and bring any scans or letters you have.